Individual provider · Type 1 NPI

Jennifer R. Wiseman, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1255919627 Active

Practice location

5841 S Maryland Ave # MC2030
Chicago, IL 60637-1443

Call (773) 702-6222 Map

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Other practice locations

  • 100 E 77th St, New York, NY 10075-1850 · (212) 434-4833

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X036.173088 (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 other providers at this address

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About NPI 1255919627

Jennifer R. Wiseman, MD's National Provider Identifier is 1255919627, issued on Mar 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 9, 2025.